Increases in the Rate of Age-Related Hearing Loss in the Older Old
Increases in the Rate of Age-Related Hearing Loss in the Older Old
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DOI：
10.1001/jamaoto.2016.2661
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发表时间：
2017-01-01
影响因子：
7.8
通讯作者：
Lalwani, Anil K.
中科院分区：
文献类型：
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作者：
Wattamwar, Kapil;Qian, Z. Jason;Lalwani, Anil K.
重要性关于老年人听力损失的发生率和性质，（80岁及以上）。目的确定老年人与年龄相关的听力损失率是否恒定。设计、设置和参与者我们进行了一项回顾性研究，始于2014年8月1日，在一个学术医学中心对647名年龄在80到106岁之间的患者进行听力测定评估，其中141名患者有多个听力图。主要结果和测量从人群的角度来看，听力损失的程度在以下年龄段进行了比较：80至84岁，85至89岁，90至94岁，95岁及以上。从个体的角度来看，2个听力图之间的听力下降率进行了比较，与aging.Results听力变化年龄段之间的10个十年的生活比9个十年在所有频率（5.4-11.9 dB听力水平[dB HL]）为647例（平均[SD]年龄，90 [5.5]岁）。相应地，在第10个十年期间，低频听力损失的年速率较快，0.25 kHz时为3.8 dB HL/年，0.5 kHz时为3.8 dB HL/年，1 kHz时为3.2 dB HL/年。尽管普遍存在的听力损失，在我们的样本中，382例（59%）使用助听器。结论和相关性有一个显着增加的听力损失的患者在第10个十年的生活相比，第9个十年，代表了一个根本性的变化，老年性耳聋的机械过程。尽管助听器有潜在的好处，但它们在老年人中仍然没有得到充分利用。通过将听力康复咨询的方法从患者发起的模型改变为慢性疾病的例子，可以改善使用。
IMPORTANCE There is a critical disparity in knowledge regarding the rate and nature of hearing loss in the older old (80 years and older).OBJECTIVE To determine if the rate of age-related hearing loss is constant in the older old.DESIGN, SETTING, AND PARTICIPANTS We performed a retrospective review that began on August 1, 2014, with audiometric evaluations at an academic medical center of 647 patients aged between 80 and 106 years, of whom 141 had multiple audiograms.MAIN OUTCOMES AND MEASURES From a population perspective, the degree of hearing loss was compared across the following age brackets: 80 to 84 years, 85 to 89 years, 90 to 94 years, and 95 years and older. From an individual perspective, the rate of hearing decrease between 2 audiograms was compared with age.RESULTS Changes in hearing among age brackets were higher during the 10th decade of life than the 9th decade at all frequencies (5.4-11.9 dB hearing level [dB HL]) for the 647 patients (mean [SD] age, 90 [5.5] years). Correspondingly, the annual rate of low-frequency hearing loss was faster during the 10th decade by the 3.8 dB HL per year at 0.25 kHz, 3.8 dB HL per year at 0.5 kHz, and 3.2 dB HL per year at 1 kHz. Despite the universal presence of hearing loss in our sample, 382 patients (59%) used hearing aids.CONCLUSIONS AND RELEVANCE There is a significant increase in the rate of hearing loss in patients during the 10th decade of life compared with the 9th decade that represents a fundamental change in the mechanistic process of presbycusis. Despite the potential benefit of hearing aids, they remain underused in the older old. Use may be improved by changing the method of hearing rehabilitation counseling from a patient-initiated model to a chronic disease example.